Pestana Comprehensive Wellness

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About Dr. Pestana

Tatiana A. Pestana, MD, MPH, CCMS, IFMCP, is a board-certified internal medicine and pediatric physician and is a certified functional medicine practitioner dedicated to helping patients uncover the root causes of illness and reclaim optimal health. She is the founder of Pestana Comprehensive Wellness, a cash-based integrative practice offering personalized care, advanced diagnostics, and lifestyle-focused therapies.

Dr. Tatiana earned her Doctor of Medicine (MD) at Albany Medical College and holds a Master of Public Health (MPH) degree with a focus on maternal and child health from the Tulane School of Public health and Tropical Medicine. She later completed certification as a culinary medicine specialist (CCMS) in 2016 and has also achieved certification through the Institute for Functional Medicine (IFM) merging the science of nutrition with the art of healing.

With decades of experience in both hospital-based and outpatient care, Dr. Pestana brings a unique blend of clinical expertise and compassionate listening to every visit. She has served in medical leadership as Chief of Staff, mentored healthcare professionals, and is passionate about empowering patients through education and lifestyle change.

Her practice emphasizes partnership, deep inquiry, and patient participation. Services include functional lab testing, hormone and metabolic support, GLP-1 therapy, nutritional counseling, and personalized wellness planning.

Dr. Pestana does not provide primary care or insurance-based services, allowing her to focus on what matters most: time, trust, and transformation.

She specializes in cardiometabolic health, hormone health, pediatric wellness, and complex chronic illness, creating a safe and welcoming space for families and individuals seeking lasting healing.

What We do

Hormone Health

How we evaluate: Dutch testing, thyroid/adrenal assessments, menstrual and menopausal patterns. Why it matters: Balanced hormones mean better energy, mood, and sleep — and ultimately, the ability to feel more like yourself again every day, so you can restore confidence in your body, your health, and your future.

Root Cause

At Pestana Comprehensive Wellness, we don’t just manage symptoms—we uncover the root causes. Using advanced functional medicine tools and over two decades of clinical experience, we help patients achieve lasting improvements in energy, weight, hormones, and overall well-being.

Cardiometabolic Health

How we evaluate: Advanced lipid panels, inflammation markers, glucose/insulin dynamics.
How we help: Food as medicine, targeted supplements, lifestyle coaching, medications if needed.

Weight and Metabolism

How we evaluate: Advanced labs, body composition analysis, genetic and lifestyle factors.
How we help: Nutrition, personalized exercise, GLP-1 therapy when appropriate, supplement support.

Gut and Immune Resilience

How we evaluate: GI-MAP testing, food sensitivity patterns, immune markers.
Why it matters: A healthy gut supports brain, immunity, hormones, and inflammation control.

Energy and Brain Health

How we evaluate: Mitochondrial health, genomics, nutrient status, sleep quality, stress load.
How we help: Nutrition, sleep optimization, adaptogens, mind-body techniques.

How We Help You Heal

Our Approach: The Integrative Resilience Matrix

At Pestana Comprehensive Wellness, we don’t treat symptoms in isolation.
Dr. Tatiana Pestana’s Integrative Resilience Method™ looks at how your core systems — energy, hormones, metabolism, immunity, digestion, and stress balance — interact and adapt.
The goal: reveal what’s out of sync, restore balance, and keep it that way.

How it Works:

1. Reveal – We look deeper when standard tests are “normal.”

2. Recalibrate – We personalize nutrition, lifestyle, and, when needed, medications or hormone support.

3. Reinforce – We track progress and fine-tune for lasting results.

Real Results:

Normal Labs, Low Energy
A marathon runner’s routine tests were perfect, yet he felt drained. Advanced cortisol testing uncovered an abnormal curve. Now treatment can be tailored to the cause.

“IBS” That Wasn’t
A woman told to “live with” irritable bowel symptoms turned out to have low pancreatic enzyme output. With proper enzyme therapy, digestion and comfort improved.

What To Expect:

Advanced testing — only when it changes your plan
Precision nutrition & supplements
Targeted medical therapies when appropriate
Coaching & accountability for lasting change

About Dr. Pestana

Certifications

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